Alberta Pharmacists Practice Model Flashcards
What are Service Eligibility Requirements?
Albertans must have a valid AHCN
Depending on service: have certain disease states or risk factors.
Depending on service: have been or will be prescribed a Schedule 1 drug, a drug on the ADBL or insulin.
What is a pharmacy?
An eligible service provider performing the services employed by the pharmacy, the pharmacy is in an agreement with ACP to provide the service and the pharmacy is licensed to operate by ACP in Alberta.
What is a CACP?
A detailed assessment, confirmation of medication used understanding, a care plan including: drug therapy problems, goals of therapy, identification of possible interventions and plans for follow up.
What must a pharmacist doing a CACP do information wise?
Provide the patient with an accurate BPMH, inform the patient about any other information and notify the patient’s other HCPs.
Which patients are eligible for a CACP?
Two or more chronic conditions from a group OR one chronic conditions from the group and one or more risk factors from another group.
When can pharmacists providing follow up to a CACP?
Referral from a physician, hospital admission or discharge within 14 days of service or pharmacist documented decision. Will need to update CACP and BPMH.
What is a Standard Medication Management Assessment (SMMA)?
It is similar to a CACP, but for “less sick people”. It is developing a care plan and has all the same requirements as a CACP. It should help set medication therapy goals, monitor and manage drug therapies, enable Albertans to better manage their medical conditions.
Who is eligible for an SMMA?
At least one chronic medical conditions from a group and be currently taking: 3 or more schedule 1 drugs or insulin + another schedule 1 drug or using tobacco daily.
What is the Adaptation of an Rx Medication service?
It enables a pharmacist to assess a patient and the appropriateness of their prescription based on the patients needs. It means altering the dosage or regimen of a schedule 1 drug that has been prescribed or the substitution of another drug for the prescribed drug (not generic switches).
What does a pharmacist have to do in order to adapt a prescription?
Obtain informed consent to adapt.
Assess the patient and appropriateness of the prescription.
Reduce prescription to writing, reference original order
Provide sufficient information to allow patient to obtain intended benefit
Notify original prescribed of intervention
Documents actions in Record of Care
What is a prescription renewal?
This service allows pharmacists to renew a patient’s prescription based on assessment of their needs. Means adapting an existing prescription by renewing a prescription to dispense a schedule 1 drug or blood product to ensure continuity of care.
What is the refusal to fill a prescription defined as?
This service requires a pharmacist to assess a patient and their prescription for situations of potential over use and abuse or a falsified/altered prescription. Doesn’t allow you to be paid for whether or not you think this is the right medication.
What are trial prescriptions?
A service by which a pharmacist assesses a patient and their prescription to determine if it is appropriate to dispense a reduced quantity of the newly prescribed drug in order to assess the patient’s response and tolerance. Patient comes back and helps you decide if they should coninue. To reduce medication waste.
What must a pharmacist do in order to administer a drug by injection and be paid for it?
Provide patient with eligible products by IM or SC following a patient assessment. Includes both pre and post administration evaluation. There is a limitation in eligibility of products.
What is prescribing in an emergency?
This service enables pharmacists to assess a patient for drug therapy in the absence of an existing prescription in an emergency situation. Emergency = when it is not reasonable, according to pharmacist, for the patient to seek emergency health care elsewhere.
